Becker's Hospital Review

January 2020 Becker's Hospital Review

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39 FINANCE CMO / CARE DELIVERY Vaping damage is 'evil I haven't seen before,' Henry Ford lung transplant surgeon says By Gabrielle Masson A 17-year-old patient under- went what is believed to be the first vaping-related double lung transplant in the U.S. at Detroit-based Henry Ford Hospital Oct. 15. e patient, whose lungs were irrepa- rably damaged from vaping, has a good prognosis, though recovery will be long, the hospital said in a news release. Before the surgery, the patient's lungs were almost invisible on a CT scan, Hassan Nemeh, MD, surgical director of thoracic organ transplant at Henry Ford Hospital and one of the surgeons who performed the transplant, told e New York Times. "What I saw in his lungs is like nothing I've seen before, and I've been doing lung transplants for 20 years. is is an evil I haven't faced before," Dr. Nemeh said. e events leading up to the transplant were sudden. e patient was admitted to Detroit-based Ascension St. John Hos- pital Sept. 5 with pneumonia-like symp- toms and intubated Sept. 12 as his ability to breathe worsened. He was transferred to Detroit-based Children's Hospital of Michigan Sept. 17, where an extracor- poreal membrane oxygenation device kept him alive. e patient was critically ill when he ar- rived at Henry Ford Hospital Oct. 3. He was put at the top of the transplant wait- ing list due to the severity of his condition. Aer the successful transplant Oct. 15, the patient came off the ventilator Oct. 27 and is working on walking again. n New York is 1st state to publicize hospitals with C. auris cases By Mackenzie Bean N ew York health officials on Nov. 13 published a list of health- care organizations that have treated patients for the deadly fun- gus Candida auris, making it the first state to share this information with the public, reported The New York Times. The list includes 64 hospitals, 103 long-term care homes, three hospice units and one long-term care hospital. It does not detail how many cases oc- curred at each organization. The New York State Department of Health released the list in response to a rapid increase in C. auris cases. Health officials said the information is intended to boost transparency for consumers and motivate hospitals to stop C. auris from spreading further, according to NYT. The CDC reported 836 cases of C. au- ris nationwide as of Aug. 31. Of these, 388 have occurred in New York. n Oklahoma pharmacist accidentally gave 10 people insulin instead of flu shot By Gabrielle Masson A pharmacist mistakenly adminis- tered insulin shots to 10 people at an Oklahoma care facility for people with intellectual disabilities, all of whom required hospitalization Nov. 6, according to the Tulsa World. Eight residents and two staff members at Bartlesville, Okla.-based Jacquelyn House were injected with what officials suspect to be insulin instead of flu shots. Emergency responders initially re- ceived a report about one unrespon- sive person but, upon arrival, found several others unresponsive, Tracy Roles, chief of the Bartlesville Police Department, told Tulsa World. Preliminary investigations indicate that the incident was an accident, Mr. Roles said. All patients stabilized by Nov. 6, Mr. Roles reported. n Vaping damages lungs after 3 days, study finds By Mackenzie Bean J ust three days of vaping can cause lung damage, even if e-cigarettes do not contain nicotine, according to a study published in FASEB BioAdvances. For the study, researchers from The Lundquist Institute in Torrance, Calif., and the University of Rochester (N.Y.) exposed mice to e-cigarette aerosols containing propylene glycol — a common carrier fluid for vaping devices — with or without nicotine for two hours a day. Researchers detected lung damage in the mice after three days. Lung damage occurred when mice were exposed to both types of e-cigarette aerosols. "Our work provides unequivocal evidence that vaping 'juices' even without fla- vors or nicotine are harmful to lungs," study author Virender K. Rehan, MD, an investigator at The Lindquist Institute, said in a news release. "In other words, any form of vaping is not safe." Researchers also found female mice had higher inflammatory responses to vap- ing exposure, suggesting that vaping may cause worse health effects in women. n

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